Give Us a Call (773) 531-7719
Questions? Call (773) 531-7719

JERMAINE LAWRENCE ANDERSON is available to provide inspirational messages on topics including: entrepreneurship, leadership development, personal growth, life-coaching and success.  Please complete the form below to request JERMAINE to be a part of your next event.  Once the form has been completed, someone from our office will contact you with the next steps in securing your request.

Name of Pastor/Ministry
Head/Business Leader

Organization's Name


Street Address:

City:                                                                                                        State:

Zip/Postal Code:

Business Phone:                                                                                     Business Fax:

Email Address:

Contact Person:                                                                                       Cell Phone:

Date of Event:                                                                                          Time:

Location of Event:

Will you provide an honorarium?                                                           If yes, how much?

Will the event be audio recorded?                                                         Will the event be video recorded?​

Event Theme/Subject:

Schedule of Speaking Time(s):

Are there other speakers:

Who is the attending audience?

How may people are expected 
to attend?

Please click the 'SUBMIT' button only once